Individual
MS. LAINE CECILY HARTWELL BERMANSOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5354 PARKDALE DRIVE, 2ND FLOOR, ST. LOUIS PARK, MN 55416
(651) 645-5323
(952) 746-5962
Mailing address
5354 PARKDALE DRIVE 2ND FLOOR, ST. LOUIS PARK, MN 55416
(952) 652-7452
(952) 746-5962
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
01907
MN
101YM0800X
Mental Health Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
CC01900
MN
Other
Enumeration date
06/22/2016
Last updated
11/01/2021
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